First Name
Last Name
Age
Birthday
Marital Status
Do you have children? If no, leave blank. If yes, what are their names and ages?
What is your faith background?
Are you currently under the care of a counselor, therapist, or psychologist?
Address
City
State
Zip
Phone
Email
Where do you work?
Title or Position?
Website
Business Name
What are some of your hobbies?
How would you describe your personality?
Check any of the areas below that you feel you could use some coaching:
What are you desiring to gain or understand through the 320 Coaching process?
How are you currently moving yourself forward? (Pick 2 and explain)
In what area are you struggling the most in your leadership?
What does a coaching relationship look like for you?
What are two things in life that you’re most proud of accomplishing?
What do you wish to change or reshape in your life?
Use the drop down list to rank yourself on the following statements.
I lead myself well
I am able to focus most of the time
I live according to my values
I am clear on my unique purpose
I have a vision for my life
I set goals regularly for myself
Have you had any previous experience with a leadership coach? (please explain)
How did you hear about 320 Coach?